Vicks, Sherell Denise
Vicks, Sherell Denise is an individual health care provider with primary practice located at 5910 Hillandale Dr Suite 202, Lithonia GA 30058-1884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vicks, Sherell Denise can be contacted via phone (770) 808-0092.Contact Information
Primary practice address
5910 Hillandale Dr Suite 202
Lithonia GA 30058-1884
Phone: (770) 808-0092
Fax: (770) 808-0380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034265 | Georgia |
Profile Details
| NPI number | 1932251253 |
|---|---|
| LBN Legal business name | Vicks, Sherell Denise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932251253 | NPPES |
| Georgia | MEDICAID | 00641935C |
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